Chikungunya in Indonesia

[Gert van der Hoek]

Re: Chikungunya in Indonesia

Chikungunya spreads through village in Bandarlampung


Oyos Saroso H.N., The Jakarta Post, Bandarlampung

About 100 people in Bandarlampung have been affected by an outbreak of chikungunya, a usually non-fatal viral fever spread by mosquitoes.

The outbreak has been centered in the village of Langkapura in Kemiling district.

Most of those infected have not sought medical treatment because they cannot afford to go to a community health center or see a doctor.

Chikungunya, which is similar to dengue fever, is characterized by high fever and severe joint pain, or arthralgia, that can last for up to a week.

The virus that causes the disease is spread though the bite of either the Aedes africanus or the Aedes albopictus mosquito, which also can carry the dengue fever virus.

Febri, 30, a resident of Langkapura village, said she had suffered high fever and joint pain for the last 10 days.

"The doctors said I have chikungunya. The sad thing is that my husband and child are also infected ... my child even fell unconscious."

Nurdin, head of a neighborhood unit in the village, said the chikungunya outbreak started last month.

"Initially only dozens of residents were infected, now that number has jumped to about 100."

Nurdin asked the Bandarlampung authorities for help in dealing with the outbreak.

"Many of the sufferers are already better, but the number of new infection is still on the rise," Nurdin said.

He said authorities had only fumigated in the village once to kill the mosquitoes. "We want more fumigation."

Nuryahman, who staffs a mobile community health unit, said he had taken blood samples from 12 people and sent the samples to the laboratory of the Health Research and Study Agency in Jakarta.

"However, we have not yet received the results (of the lab tests)."

Bandarlampung Health Office head Reihana said Langkapura was particularly vulnerable to chikungunya outbreaks because of the poor sanitation in the village.

He also said much of the village was filled with bushes and water-filled potholes. "Such conditions are ideal for the mosquitoes to breed."

Chikungunya was first recognized in epidemic form in east Africa in 1952 and has continued to cause major epidemics in Africa, India and Southeast Asia.

Its name comes from the Swahili word "chikungunya", which means "that which bends up", referring to the contorted posture of patients afflicted with the disease as a result of the severe joint pain.

In Indonesia, the disease was first reported in 1973 in Samarinda, East Kalimantan. The latest outbreak of chikungunya was in 2002, in Bekasi, West Java, and Purworejo and Klaten in Central Java.

http://www.thejakartapost.com/detailheadlines.asp?fileid=20070530.A05&irec=4

 

[Commonground]

Re: Chikungunya in Indonesia

Dinkes Kab.
Sukabumi ?Fogging? Bojonggaling
Sukabumi, (HOMEWORK).
- Sub- Dinas Pemberantasan of infectious diseases (P2M) the Kesehatan Service of the Sukabumi Regency, on Thursday (28/6), did fogging (fumigation) in the Bojonggaling Kecamatan Bantargadung Village.
The action was carried out following the discovery of the plague attack chikungu him that resulted in dozens of villagers being affected by the high fever was followed by paralysis.
The official of the health of the service also took the example of blood of dozens of residents.
The head of the Sub- Service P2M, Didi Supriadi that was contacted by "HOMEWORK" when carrying out fumigation in the Bojonggaling Village explained, this step was taken to anticipate disseminator-an pinched mosquitoes that became the main cause of the arrival of the plague of this illness.
Apart from fumigation, the official also cleaned several ponds and the water channel.
The "main cause of all the illnesses came from kebersih-an the environment, therefore we must do lang the cleaning" of the "environment, including the environment near the resident's house and the water channel," said Didi.
More: http://www.pikiran-rakyat.com/cetak/2007/062007/29/0302.htm

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

C. Jakarta reports rare tropical virus

August 02, 2007

The Jakarta Post, Jakarta

Central Jakarta may be a new hot spot for the tropical disease chikungunya after 30 residents reported suffering the dengue-like illness in May, a health agency official said Tuesday.

The residents, from Johar Baru subdistrict, have already recovered from the disease, the head of the agency's infectious diseases prevention unit, Endang ER, was quoted as saying by Antara news agency.

"This is the first case to hit residents in Johar Baru. There was no such disease (in the area) last year," she said.

Chikungunya is a mosquito-borne disease with symptoms including high fever and severe joint pain.

Endang said the residents initially complained of fever.

"But after running some tests, we found residents in neighborhood unit RW 5 (had tested) positive for chikungunya," she said.

Endang said she suspected the outbreak was caused by the uncontrolled growth of mosquito larvae in the densely populated area. She said the growth had occurred despite regular fumigation to fight dengue fever.

First recognized in its epidemic form in East Africa in 1952, chikungunya has continued to cause major epidemics in Africa, India and Southeast Asia.

Also known as epidemic polyarthritis and rash, or buggy creek virus, the first case reported in Indonesia was in Samarinda, East Kalimantan, in 1973.

Cases of chikungunya were reported in Yogyakarta in 1983, however the disease seemingly disappeared from the country for almost 20 years until it resurfaced in 2001, with outbreaks reported in Muara Enim in South Sumatra, as well as Aceh and Bogor.

In 2002, cases were reported in Bekasi in West Java, and Purworejo and Klaten in Central Java.

Chikungunya is caused by a self-limiting febrile virus that is transmitted through the bite of the Aedes aegypti and Aedes africanus mosquitoes.

The illness usually lasts for three to 10 days, though the joint pain can remain a problem for weeks to several months after the initial phase. While painful, chikungunya rarely results in death.

Since there are currently no medications available to fight the virus, prevention of the disease focuses on controlling mosquito populations and avoiding mosquito bites. Those who do contract the disease are advised to take plenty of rest and eat properly.

http://www.thejakartapost.com/detailcity.asp?fileid=20070801.C04&irec=3

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

From Health Service Riau, Sumatra:


Chikungunya Attacks Pekanbaru Again

By: Drg. Burhanuddin Agung, MM, Kasubdin Yankes&Gizi

Chikungunya was found again in Pekanbaru.

On October 24 2007,Dinkes Provinsi Riau received the report on W1 KLB Suspek Chikungunya in the District of Delima Kecamatan Tampan Kota Pekanbaru.

From investigation was reported that on October 24 2007 was gotten by 30 sufferers and on October 25 2007 it was reported 80 cases.

The team of investigation took 8 samples that will be sent to Balitbang Department of Health RI. Tim also found 5 positive Aedes houses aegypti from 15 houses that were checked.

Dinkes carried out counselling, mass medical treatment, opened the command post, fogging and abatisasi as well as with the community and apparatus the area did 3M. Fogging will be done by 2 times at intervals of a week.

The Chikungunya case in the Riau Province very first was reported in Kelurangan Tangkerang Selatan, Kecamatan Simpang Tiga Kota Pekanbaru in May 2007 with the sufferer totalling 44 people.

From 5 specimens that were taken and sent to Balitbang Department of Health RI, was checked 3 samples and one among them positive.

- snip -


This illness could be only prevented.

Among them that is the stopping of the proliferation of mosquitoes with encouraged 3M (closed the water channel, drained the water reception, resembled the prevention towards dengue fever dengue fever (DBD).

The eradication must be against these mosquitoes carried out routinely and in a periodic manner, because berdasarkanberdasarkan the research in 10 days very much hundreds pinched changed to mosquitoes. Pinched-pinched that if being allowed to develop fast until endangering the life of humankind.


More on:

http://yankesriau.wordpress.com/2007/10/

 

[Commonground]

Re: Chikungunya in Indonesia

Dinkes To Take Sample Blood and opened Health Command Post

The number of residents Keluarahan Delima that was attacked by the illness similar to Cikungunya continued to improve. {improve=increase].
As the step in the control, the Kesehatan Service took sempel blood and opened the Health Command Post.
Riauterkini-Pekanbaru- Jumla the resident in an amount of RT in RW 08 Delima districts, Kecamatan Tampan Pekanbaru that was attacked by the illness similar to Cikungunya was believed in already to surpass the figure 32 people.

Meaning that continuing to have the new sufferer the illness was with the sign of the fever accompanied by pain in all this bones pivot.
As the step in the control of this Pekanbaru Health of the Service, on Thursday (25/10) carried out several steps, like took sempel blood of several fever sufferers to diter the laboratory.
This laboratory research to ascertain the kind of sick what was attacking the resident.

Moreover the Health Service also opened the health Command Post and carried out fumigation or fogging in the settlement of the resident.
According to Health Pekanbaru Syaiful Bahri Rab Section Head, in a manner his side's clinic had the hard assumption if the illness that attacked the resident of the Dilema District was Cikungunya, but only results of the laboratory test only could confirm.
The "strong assumption indeed headed to Cikungunya, but we must be waiting for results" of the "laboratory to confirm," he said to the reporter.

http://www.riauterkini.com/sosial.php?arr=16305

 

[Commonground]

Re: Chikungunya in Indonesia

[Unfortunately, I can not find any of these locations with Encarta Maps].

hat-tip bgw in MT

http://www.riauinfo.com/main/news.php?c=6&id=2830

CIKUNGUNYA Epidemic Continues to Spread
Increased Sufferers, Estimated 100 People Handled
26 Oct 2007 11 : 22 wib

Pekanbaru (RiauInfo)-Chiungunya epidemic is invading residents in
Perumahan Widya Graha II, Kelurahan Delima, Kecamatan Tampan, Pekanbaru increasingly spread . This proved with more increased total disease sufferers that passed round by the mosquitoes .

Of the evidence gathered by RiauInfo, Jumat (26 / 10) known to the
totals this seconds has got through 100 people. Three days whereas the
total sufferer past only 30 people. They complained of tall fever and
tasted pain in the whole body joints, in fact they are not able to still
stand.

Concerned (that there are) more growing total Cikungunya sufferers,
Dinas Kesehatan (Diskes) Riau erected command post in the housing
complex, to be precise in Masjid Al-Arsy nucleus. The command post was
erected to supply residents that wanted for medical treatment help.

Apart from the residents some also has taken blood sample for inspection
in Balitbangked Depkes in use Jakarta ensure the disease. " we need to
ensure what strange disease that the warga suffered Cikungunya or not, "
said Lepala Sub Dinas Pelayanan Kesehatan Diskes Riau, H Burhanuddin drh.

Since the command post stood, residents were seen to be very
enthusiastic to come to get medical treatment. Sadly the command post
only open just a day , further society asked to come on own to puskesmas.

While the Camat Tampan, Adi Suaska alleged that what overtake residents
in the residential Widya Graha was the first time it happened in the
area. " the reason we immediately took quick action and gave treatment
and carried out fogging. with quick action," (he/she said) emphatically
.(ad)

 

[Commonground]

Re: Chikungunya in Indonesia

Department Health Lampung Carry Out Fumigation
Minggu, 23 September 2007 11:02 WIB

Bandar Lumpung: Dinas Health Province Lampung began to carry out fumigation at a number of regions in province aforementioned. Fogging or fumigation undertaken towards prevention sickness chikungunya that spread by means of mosquito. Done after Province Lampung expressed area condition unusual (KLB) chikungunya.

Since 10 days last at least 18 people residents in wilayah now attacked sickness chikungunya. Because amount quantity sufferer, chief official Health Province lampung Wiwik Eka Meini say from the time that two weeks past he already decide Lampung as region KLB chikungunya.

Bandar Lumpung: Dinas Health Province Lampung began to carry out fumigation at a number of regions in province aforementioned. Fogging or fumigation undertaken towards prevention sickness chikungunya that spread by means of mosquito. Done after Province Lampung expressed area condition unusual (KLB) chikungunya.

Since 10 days last at least 18 people residents in wilayah now attacked sickness chikungunya. Because amount quantity sufferer, chief official Health Province lampung Wiwik Eka Meini say from the time that two weeks past he already decide Lampung as region KLB chikungunya.
http://www.metrotvnews.com/berita.asp?id=46068

[Also note this article - written on September 9th]
LAMPUNG KLB CIKUNGUNYA
http://www.metrotvnews.com/berita.asp?id=45267

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

Report from Java, wet season

On Monday, November 19 2007

Village was attacked by Chikungunya

TULUNGAGUNG - Hundreds Of villagers Wates, Kecamatan Campurdarat experienced sudden paralysis. They were in turns attacked by the illness cikungu him.

Although not until caused fatalities, but this illness made the resident local was gripped by the fear.

Unfortunately, although attacking hundreds of residents, until this did not yet have the special action was carried out by the Tulungagung Health Service.

Both in the form of the preventive action and the medical handling.

Casualties who were attacked by the plague cikungu him must take medicine at a cost of was personally good by means of buying special medicine or took medicine to the closest community health centre.

- snip -

The case of this kind continued to spread as far as several other villages like Brangus, Cangkring and Karang that had a solid population.

- snip -

http://www.jawapos.co.id/index.php?act=detail_radar&id=181200&c=115

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

Bogor, Java


17 Residents Were Attacked by Chikungunya

Thursday 22 November 2007

Totalling 17 residents RT 01 and RT 02, the Loji District, Bogor Barat, positive was attacked by the plague chikungunya since ten finally. They consisted 13 men and 3 women including among them Sandi, pre-schoolers were 3 years old.

"Limp it seems because kept was sick," said Aminah, one of the casualties, on Wednesday (21/11). He said, since the last three days he could not undertake his activity as the assistant household after second foot him could not be moved.

After being brought to the community health centre was learnt the grandmother of three grandchildren suffered the illness chikungunya. "Now rather tolerable," he added.

According to Anwar, Chairman RT 01, was suspected the spreading of the illness was caused because dirty him the Ciomas River current. Uptil now the local resident used the river water for the need every day; bathed and washed.

"Apparently resulting from the dirty river water," obviously him while regretting the achievement of the related service that just came after ten days illness to attack his territory.

The Head of Sector Pemberantasan of infectious diseases and the Health of the Environment (P2KL) the Bogor City, Dr Sri Pinantari Hanum acknowledged his side just two days ago received the report on the resident was attacked chikungunya.

"As many as 17 residents of the residents were attacked chikungunya with the sign fever, very itchy and hurt to the pivot muscle in the Loji District, then we conducted fumigation whereas the 17 residents were carried to the community health centre," he said.

http://www.poskota.co.id/news_baca.asp?id=41239&ik=4

credits dbg

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

The village of Curungrejo Malang KLB Chikungunya

Malang -- the MEDIA: the Curungrejo Village, Kecamatan Kepanjen, Kabupaten Malang, East Java (East Java) was stated by the Extra Ordinary Incident (KLB) cikungu him after 26 local residents were attacked by the illness.

To prevent the sufferer's increase, the health Service did fogging/fumigation.

Fumigation to kill pinched cause mosquitoes cikungu him, the Service headword of Kesehatan Regional Government Malang, East Java, Muhammad Fauzi, on Sunday (25/11).

Apart from the Kepanjen Subdistrict, he continued, in the Malang Regency was gotten two other serious subdistricts were attacked cingungu him was Gondanglegi and Kalipare.

Because, two subdistricts were in 2006 gotten by at least 100 residents was attacked cikungu him.

The settlement of the inhabitants in the Gondanglegi Subdistrict and Kalipare his location close to the reservoir.

So as to have the potential to become the centre of the mosquitoes nest, he stressed.


http://www.mediaindonesia.com/berita.asp?id=150338

credits Commonground

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

The RESIDENTS one VILLAGE IN CIAMPEA POSITIVE CHIKUNGUNYA

Metrotvnews.com, Bogor: Approximately 480 villagers Cihedeung Ilir, Kecamatan Ciampea, of Bogor, West Java, were attacked by the plague chikungunya.

The residents of one village was stated positive was infected chikungunya. Most casualties were adults.

This condition it was estimated happened resulting from bad him environmental sanitation in the resident in this village.
The patients chikungunya him until this was still being handled by the official of the local health.

Apart from being given the vaccine chikungunya him, the patients were also given the powder abate to stop the spreading pengakit this.

Although being stated in the status of the extraordinary incident (KLB) the local government side did not yet do fogging or spraying.

As a result of spreading him this plague the atmosphere of the visible village quiet because almost all the residents were infected by chikungunya.

Moreover, was gotten by one family had a membership of 12 people that all of them infected by this illness.

http://www.metrotvnews.com/berita.asp?id=49590

credits Commonground

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

144 residents was spread out was attacked by Chikungunya

On Friday November 23 2007,

The attack chikungunya started on Sunday (4/11), after a resident claimed limp, pivot pain was afterwards accompanied by the fever.

This illness attacked all of us, said Hamid,64, Chairman RW 01 Cihideunghilir villages, Kecamatan Ciampea, on Friday (23/11) in the Office Regent Bogor.

According to Hamid, almost all the residents experienced the feeling of pain, stiff to the hands, hot, the fever, and pivot pain.

Approximately 144 residents were attacked by chikungunya and 26 other still in the maintenance, he said.

CIAMPEA KLB CHIKUNGUNYA

Now Head of Sector Pencegahan of the Eradication of the Illness and the Health of the Environment (P2PKL) Dinkes Kabupaten Bogor, Euis Wulantari denied the number of casualties chikungunya him 144 people.

According to Euis, only one hundred people were affected by chikungunya, that is in Bojong 70 people and 30 people in Banteng.

His side also took the sample of the patient's previous blood was researched in Department of Health Jakarta to ascertain the illness chikungunya.

Dinkes (=Health Service,ed) determined the plague chikungunya in Ciampea this as the Extra Ordinary Incident (KLB), he said.

His sign could be seen from signs like hot, the spotty existence red and painful in the pivot.

His spreading, said Euis be the same as endemic DBD (= Dengue Fever, ed) that was caused by mosquitoes resulting from the change in the season.

Like aedes aeghepty was increased by the mosquitoes bite aedes alboviktus.

When his bite besifat him sporadic resulted in temporary paralysis, between 1-10 days. If fast was handled five days will recover, he explained.

http://www.poskota.co.id/news_baca.asp?id=41361&ik=4

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

More from Bogor:

Chikungunya attacked Bogor

Health Service determined Officially the Extraordinary Incident

Bogor, - the Illness chikungu him attacked several areas in the City and the Bogor Regency in two last weeks. Hundreds of residents were reported to be infected by the illness that was spread by these mosquitoes.

From information that was received by Pikiran Rakyat, to Sunday (25/11), dozens of villagers Loji Kota Bogor infected by the illness chikungu him.
Whereas in the Bogor Regency, the same plague attacked hundreds of residents in two subdistricts, namely the Ciampea Subdistrict and Darmaga.

In the Ciampea Subdistrict, the affected resident chikungu him was spread in the Bojongrangkas Village, Cihideung Ilir, and Cinangneng.

In the Darmaga Subdistrict that was neighbouring with the Ciampea area was recorded by approximately 60 people was more affected chikungu him.

Officially Kesehatan of the Bogor Regency determined the extraordinary incident (KLB) for the Ciampea territory after dozens of his residents were affected chikungu him.

The resident around was asked to be on the alert and reported if having his family's member who suffered the sign of high fever and went out red spots. The sign of this illness will afterwards attack the pivot so as to cause someone to have difficulty moved foot or his hands.

The head of the Pencegahan Field of the Eradication of the Illness and the Health of the Environment (P2PKL) the Regional Health Service.
Bogor Dr. Eulis Wulandari with the official of the local community health centre admitted to carrying out the inspection and mass medical treatment to the resident.

Like that received the report, we at once descended to identify this plague, by checking and taking 10 samples of blood from the sufferers.
However, to confirm they were affected by the plague chikungu him or not, we must be still being waiting for results of the blood test that was sent by us to Jakarta, he said.

Eulis also said, when being seen from the characteristics in the sufferers, they were indeed true suspect was affected by the plague chikungu him.

Two weeks produced by the test usually could be known by us.
So, saw the number of sufferers that so many, we determined the plague in this area as the extraordinary incident (KLB), he said.

To anticipate spread him the illness chikungu him to the other area, the Kesehatan Kab Service. Bogor carried out fumigation (fogging) in two last weeks.

Change of weather

In the meantime, the Chairman the team surveillance the Dramaga Community Health Centre, Bambang Sumantri said, that became the spreading factor of the illness chikungu him namely the change in the weather and the health of the environment.

The pattern of the life was more unhealthy still was seen, like dirty him the water channel in and around the resident's housing that made developing mosquitoes fast, said Bambang that claimed to be his side the lack penyuluh the health to remind the importance of the health of the environment.

Bambang also said, to anticipate the spreading of cause mosquitoes chikungu him, his side asked for the cadres juru observation pinched (jumantik) so that more proaktif and reported his development.

At this time the resident that is infected numbering approximately 60 people and the possibility of the number of sufferers could improve, said Bambang.

In the meantime, 17 sufferers chikungu him in the area of the Loji Subdistrict, Kota Bogor, gradually recovered.

http://www.pikiran-rakyat.com/cetak/2007/112007/26/0309.htm

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

Chikungunya attacked Purwahamba Villagers

Liputan6.com, Tegal: Last week, the illness with the sign was similar cikungu him spread in the Purwahamba Village, Kecamatan Suradadi, Tegal, Central Java.

This illness most attacked children. The sufferer cikungu him generally experienced the high fever was accompanied rheumatic pain in the pivot.

Anise, for example. On the child's skin was seven years old this was gotten spotty black was accompanied itchy and feverish high.

After taking medicine to the community health centre or the local community health centre, Anise was stated was attacked cikungu him.

A month set, the similar illness attacked villagers Dukuhwaringin Utara that be at a distance around 20 kilometre from the Purwahamba Village.

Although cikungu him has spread, the Health Service side of the Tegal Regency just knew this plague.

The plan is, tomorrow, the official of the health smoked and scolded (fogging) this village.

http://www.liputan6.com/daerah/?id=151315

video

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

From East Java

Friday, 30 Nov 2007

Endemic Increasingly Extended

Kepanjen Determined as KLB chikungunya

Malang - The Attack of chikungunya in the Kepanjen Subdistrict territory, Kebupaten Malang, continued to increase. Moreover, since the yesterday afternoon, the Kepanjen Community Health Centre was appointed as the extraordinary incident (KLB).

The data in the Kepanjen Community Health Centre mentioned, till yesterday afternoon was recorded by 181 residents who were attacked by the illness resulting from this Aides Albupiktus mosquitoes bite were recorded .

This incident not only continued increasing sufferer's, but also increasingly expanded places theat were endemic. If on last Wednesday (28/11) was recorded 124 residents attacked in four villages, yesterday it has spread to seven villages from 18 villages in the Kepanjen Subdistrict.
"Because of the development" of the "quite significant spreading", "we have appointed him to become KLB, the "Administration" headword of the Kepanjen Sri Lesmono Hadi Community Health Centre that was found yesterday.

Lesmono explained, the determination has been in accordance with Plague UU of No 4/1984 and Permenkes the number 560/84. In regulations and Permenkes named, one of the strong indicators of an area was stated KLB, includied the increase in the number of cases significantly happening. Even so the area that was infected also continued to spread.

"From the start of the beginning was known, it has risen almost six fold times." First was known by 26 sufferers, but now has reached 181. (the Number) did not close the possibility of continuing to increase, he explained.

What efforts were carried out the community health centre? Lesmono said, the official of the health at once entered a location. if they knew the existence of the sign of the disease that could become an epidemic. Among them by carrying out data collection and carrying out the early prevention. Like giving socialization about chikunguya as well as the method of overcoming him.

"Apart from the action that involved the active role" of the "community, we also soothed with abatement and fumigation," said he. Especially, for the giving action of dust abatement and fumigation, will be carried out in accordance with results of the research and investigation of the existence pinched (larvae) and mosquitoes. The action must be carried out in accordance with the procedure. If not, the effect that was caused to be worse.

From several villages that were found with sufferers of chikunguya, just two villages were done by fumigation. After is carried out by fumigation in the Curungrejo Village, today planned fumigation in the Jenggolo Village. In the two villages so often was found penderitan chikungunya him. "Approximately 300 houses will get spraying," he said.

Lesmono added, apart from carrying out the prevention to the endemic area of chikunguya, his side also concentration to three villages that were not yet attacked. That is, the Ardirejo Village, Kemiri, and Tegalsari. The three villages were around seven villages that were attacked with chikunguya so as to be able to be stated in the danger.

"With the capacity to fly one hundred metres, it did not close the possibility that it would also spread to the other area." Because of that we also continued to carry out the monitoring.

What clinical symptoms does the sufferer of chikungunya have? Lesmono explained, in this disease the sufferer was preceeded the high fever, accompanied by the feeling of the headache and nausea.

As the condition continues the sufferer feels hurt in each bone in his body. The pain usually takes place for one week. If they aren't immediately given medical treatment, it will result in temporary paralysis.

Nuriyati, 35, one of the sufferers from Penarukan, Kepanjen, said, at this time himself has improved compared with two the previous day. "Yesterday still could not carry the child myself." Much less carry the baby, stood and went I dibopong (pockmarked?) Sir, he said.

http://www.jawapos.co.id/index.php?act=detail_radar&id=182956&c=88

credits bgw in MT

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

Currently Chikungunya is reported from West Java, Central Java and East Java.

At the same time reports on Dengue Fever from Central and East Java

See this thread: http://www.flutrackers.com/forum/showthread.php?t=30473

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

From Central Java, however other location

30 November 2007 :

Chikungunya cases in Pekalongan All in 110

Kajen - The number of sufferers Chikungunya in the Wonopringgo Subdistrict, Wiradesa and Tirto currently reaches 110 people more. Officially Kesehatan called on the resident to activate the eradication of the mosquitoes nest (PSN).

The Head of Sector Pencegahan and the Eradication of the Dinas Kesehatan Illness of the doctor H Hasyim Purwadi said, his side unequivocal carried out various steps to overcome merebaka him Chikungunya.

To cut off the circulation cycle of the illness, he admitted to carrying out fumigation in bebapa the area that infected by Chikungunya.

Like in the Kauman Village (Wiradesa) yesterday already in-fogging. For the Dadirejo Village (Tirto) also has been carried out. Whereas for the Surobayan Village (Wonopringgo) will be carried out tomorrow (the day this-red), he stated.

- snip ?

Till at this time for the Kauman Village from the Dinkes data was recorded had 32 cases whereas in the Dadirejo Village was found by 20 cases. For Surobayan till at this time still continued to have data collected on it.

According to the speech on the resident, who was recorded in RT *** had 60 people more. That not yet including the resident RT other that did not report, said Prayitno (45), one of the residents Surobayan that was infected by Chikungunya.

The affected resident the illness said he, was preceeded feverishly high afterwards all the pivot was felt rheumatic pain.

Whereas in skin had like the second-hand spot the mosquitoes bite.

- snip -

http://www.suaramerdeka.com/cybernews/harian/0711/30/dar11.htm

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

Central Java, Brebes and Wanasari

Dozens of Brebes residents were attacked by Chikungunya

Brebes, Kompas- Dozens Of residents in the Krasak Village, Kecamatan Brebes, Kabupaten Brebes, was attacked chikungu him. They experienced hot high and painful in the pivot. Moreover some residents could not walk.

Sakinem (65), villagers Krasak, Kecamatan Brebes, on Monday (3/12), said, the illness chikungu him began to attack the resident in his village since the last two weeks.

The spreading of this illness was very fast. At this time, more than 20 residents who have been attacked by the illness, including himself.
Sakinem claimed experienced hot high, nausea, and pain in the pivot.
In three first days, he could not walk. His eyes were felt glistened, now on his body went out red spots. According to him, several residents went for treatment to the local midwife.

After being treated, the feeling was sick that was caused from the illness chikungu him began to decrease. At this time he could have walked again.

Nevertheless, he and the other resident admitted to worrying this illness will come back attacked them.

Therefore, the resident ask for so that the government did fogging, in order to eradicates mosquitoes that became the source of this illness.

The head of the Ekonomi Affair and Krasak Rural Development, Kecamatan Brebes, Tedi Supriyadi said, most residents who were attacked chikungu him came from RT ****

According to him, the plague chikungu him twice has attacked his resident. Around the last two months, dozens of villagers Krasak were also attacked by the similar illness. Nevertheless, till at this time the resident did not yet get help fogging from the government.

Section Head of the Health Service of the Brebes Regency, Laode Budiono said, the case chikungu him in the Krasak Village not that the first time happened.

The illness chikungu him also had been found in the other area, like the Siasem Village, Kecamatan Wanasari, as well as the Siwuluh Village and Petunjungan in the Bulakamba Subdistrict.

http://www.kompas.com/ver1/Nusantara/0712/03/200215.htm

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

From Central Java again, chikungunya was not reported before in this location

`KLB`, tranlsates as`extra ordinary incident`, which means extra attention from Health Service and extra funding.

Pekalongan Town KLB Chikungunya

Pekalongan - The chikungunya illness in Pekalongan City has been regarded as the extraordinary incident (KLB). His article, more than 100 residents that was in five districts was attacked by the illness that was spread aedes aegypt. The five areas including the Tirto District, Tegalrejo, Krapyak Lor (Slamaran), Jenggot, and Panjang Wetan.

The Head of the Health Section of Pekalongan City, Dr Dwi Heri Wibawa when it was confirmed concerning the problem confirmed, the spreading chikungu him in his area might be said by the extraordinary incident.

Because, beforehand the community not yet there is one that is affected this illness. Said by KLB if from available to was available, stated he.

To prevent became an epidemic him the illness, his side did fogging or fumigation to several locations that were pointed out by his resident often suffered the illness resulting from the virus chikungu him.

Besides this, the Health Service has made an effort to give the understanding and the appeal to the resident so that always maintained the cleanliness, especially the eradication of the mosquitoes nest (PSN).

According to him, the mosquitoes kind that spread the illness that is aedes aegypti, that often laid eggs in clean water.

- snip -

http://www.suaramerdeka.com/cybernews/harian/0712/05/dar7.htm

 

[Gert van der Hoek]

Re: Chikungunya in Indonesia

Chikungunya also hits Batang

BATANG - After becoming an epidemic in the Pekalongan City, the Chikungunya illness also attacked the residents of Batang Regency.

At least 97 residents were found to suffer from the illness that was spread through the Aedes Albopiktus and Aedes Aegypti mosquitoes bite.

- snip -

http://www.jawapos.co.id/index.php?act=detail_radar&id=184175&c=111

Comment:

Almost every day new locations mentioned. Also locations where people did not have Chikungunya before.

No patients hospitalized, does not seem to be dengue fever; talk about paralysis, pain in the pivot, recovery after 5 to 6 days. Antibiotics are administred. (?)

There are a lot of dengue patients too in Central Java, doctors seem to know a dengue patient when they see one: dengue is coming back every year.

Both Dengue and Chikungunya seem to be a lot more widespread this year but Chikungunya is new for many.